CAJ | 학술논문

5％～10％的糖尿病患者由于合并神经病变及不同程度的血管病变而发生下肢感染、溃疡和(或)深部组织的损伤,进而增加了截肢、致残和致死的危险性.清创技术以逐步外科清创为原则,有把慢性伤口转变为急性伤口等作用.清创技术可分为机械性方法(如手术清创和蛆虫清创)和非机械性方法(如酶制剂和水凝胶),适用于不同的创面.清创应按照由外至里的步骤,直至出血或坚硬的地方.合理清创可减少糖尿病足溃疡的截肢率.
5％～10％적당뇨병환자유우합병신경병변급불동정도적혈관병변이발생하지감염、궤양화(혹)심부조직적손상,진이증가료절지、치잔화치사적위험성.청창기술이축보외과청창위원칙,유파만성상구전변위급성상구등작용.청창기술가분위궤계성방법(여수술청창화저충청창)화비궤계성방법(여매제제화수응효),괄용우불동적창면.청창응안조유외지리적보취,직지출혈혹견경적지방.합리청창가감소당뇨병족궤양적절지솔.
5％-10％ of diabetic patients arise lower extremity infection,ulcer and deep tissue damage which occur as a consequeuce of neuropathy and various degrees of vasculopathy.Diabetic foot ulcers (DFUs) increase the risk of amputations,morbidity and mortality.Debridement is performed gradually,and may transform a chronic wound into an acute one,which including mechanical methods (eg.surgical debridement and maggot debridement) and non mechanical methods ( eg.enzymes and gel) to encounter different wounds.On the other hand,debridement is performed step by step until the bleeding or hard places.Sufficient debridement could decrease amputation in DFUs.